Page 1 of 157
Postpartum NCLEX Exam COMPLETE
NEWEST 350 QUESTIONS AND
VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
QUESTION: The nurse is checking lochia discharge on a client in the immediate postpartum
period & notes that the lochia is bright red & contains some small clots. Which interpretation
should the nurse make about this finding? - ANSWER-It's normal
QUESTION: The nurse is preparing a list of self-care instructions for a postpartum client who has
been diagnosed with mastitis. Which instructions should be included on the list? Select all that
apply - ANSWER-- Rest during the acute phase
- Wear a supportive, non-underwire bra
- Maintain a fluid intake of at least 3000mL
- Continue to breastfeed if the breasts aren't too sore
1
, Page 2 of 157
QUESTION: The nurse is reviewing the procedure for vitamin K injection in a NB. Which info is
included in the procedure? - ANSWER-Injection into the skin that has been cleansed & allowed
to have alcohol dry on the puncture site for 1 min
QUESTION: The nurse in the NB nursery is collecting data on a neonate who was born of a
mother addicted to cocaine. Which s/s would the nurse expect to note in the neonate? Select
all that apply. - ANSWER-- Tremors
- Irritability
- HTN
- Exaggerated startle reflex
QUESTION: A postpartum client with mastitis in the right breast complains that the breast is too
sore for her to breastfeed her infant. What should the nurse tell the client? - ANSWER-
"Breastfeed from the left breast & gently pump the right breast"
QUESTION: A client has a cesarean delivery with a low transverse uterine incision. What is the
benefit of this type of incision? - ANSWER-It allows a vaginal birth after cesarean (VBAC) to be
possible in a subsequent pregancy
2
, Page 3 of 157
QUESTION: The nurse is assigned to care for a client 1 hour after delivery. The nurse palpates a
firm, uterine fundus 2 cm above the umbilicus & displaced to the right. The nurse recognizes
that this finding indicates which? - ANSWER-Bladder distention
QUESTION: A postpartum client with gestational diabetes is scheduled for discharge. During the
discharge, the client asks the nurse, "Do I have to worry about this diabetes anymore?" The
nurse should make which response to the client? - ANSWER-"You will be at risk for developing
gestational diabetes with your next pregnancy & developing diabetes mellitus"
QUESTION: A postpartum client is getting ready for discharge. The nurse suspects that the
client needs further teaching related to breastfeeding when she makes which statement? -
ANSWER-"I don't need birth control because I will be breastfeeding"
QUESTION: The nurse enters a new mother's room & finds that the mother's crying & that the
infant is undressed on the bed in front of the mother. The mother looks at the nurse & says "I
can't even dress this baby!" After reassuring the client which nursing action would be the most
appropriate? - ANSWER-Have the mother place the infant in the bassinet & assist the mother in
the dressing of the baby
Q; The nurse provides home care instructions to a postpartum client following a vaginal birth
with an episiotomy. Which statement by the client indicates the need for further teaching? -
ANSWER-"I can resume sexual activity at any time"
3
, Page 4 of 157
QUESTION: A client has just experienced a precipitate delivery. The nurse observes that the
mother is lying quietly in bed & touches the infant only briefly & occasionally. How should the
nurse be most therapeutic in this situation? - ANSWER-Provide support to the mother
QUESTION: The nurse is assisting in administering beractant (Survanta) to a premature infant
who has respiratory distress syndrome. The nurse understands that the medication should be
administered by which route? - ANSWER-Intratracheal
QUESTION: The client received an epidural anesthesia during labor & delivery & had a forceps
delivery after pushing for 2 hours. At 6 hours postpartum, the clients systolic BP dropped 20
points, the diastolic BP dropped 10 points, & her pulse is 120 bpm. The client's very anxious &
restless. The nurse is told that the client has a vulvar hematoma. On the basis of this diagnosis
the nurse should plan which action? - ANSWER-Prep the client for surgery
QUESTION: The nurse is assigned to care for the client after a C-section. To prevent
thrombophlebitis, the nurse should encourage the woman to take which priority action? -
ANSWER-Ambulate frequently
QUESTION: The nurse in the postpartum unit is instructing a mother regarding lochia & the
amount of expected lochia drainage. The nurse instructs the mother that the normal amount of
lochia may vary but should never exceed which amount? - ANSWER-8 pads a day
4
Postpartum NCLEX Exam COMPLETE
NEWEST 350 QUESTIONS AND
VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
QUESTION: The nurse is checking lochia discharge on a client in the immediate postpartum
period & notes that the lochia is bright red & contains some small clots. Which interpretation
should the nurse make about this finding? - ANSWER-It's normal
QUESTION: The nurse is preparing a list of self-care instructions for a postpartum client who has
been diagnosed with mastitis. Which instructions should be included on the list? Select all that
apply - ANSWER-- Rest during the acute phase
- Wear a supportive, non-underwire bra
- Maintain a fluid intake of at least 3000mL
- Continue to breastfeed if the breasts aren't too sore
1
, Page 2 of 157
QUESTION: The nurse is reviewing the procedure for vitamin K injection in a NB. Which info is
included in the procedure? - ANSWER-Injection into the skin that has been cleansed & allowed
to have alcohol dry on the puncture site for 1 min
QUESTION: The nurse in the NB nursery is collecting data on a neonate who was born of a
mother addicted to cocaine. Which s/s would the nurse expect to note in the neonate? Select
all that apply. - ANSWER-- Tremors
- Irritability
- HTN
- Exaggerated startle reflex
QUESTION: A postpartum client with mastitis in the right breast complains that the breast is too
sore for her to breastfeed her infant. What should the nurse tell the client? - ANSWER-
"Breastfeed from the left breast & gently pump the right breast"
QUESTION: A client has a cesarean delivery with a low transverse uterine incision. What is the
benefit of this type of incision? - ANSWER-It allows a vaginal birth after cesarean (VBAC) to be
possible in a subsequent pregancy
2
, Page 3 of 157
QUESTION: The nurse is assigned to care for a client 1 hour after delivery. The nurse palpates a
firm, uterine fundus 2 cm above the umbilicus & displaced to the right. The nurse recognizes
that this finding indicates which? - ANSWER-Bladder distention
QUESTION: A postpartum client with gestational diabetes is scheduled for discharge. During the
discharge, the client asks the nurse, "Do I have to worry about this diabetes anymore?" The
nurse should make which response to the client? - ANSWER-"You will be at risk for developing
gestational diabetes with your next pregnancy & developing diabetes mellitus"
QUESTION: A postpartum client is getting ready for discharge. The nurse suspects that the
client needs further teaching related to breastfeeding when she makes which statement? -
ANSWER-"I don't need birth control because I will be breastfeeding"
QUESTION: The nurse enters a new mother's room & finds that the mother's crying & that the
infant is undressed on the bed in front of the mother. The mother looks at the nurse & says "I
can't even dress this baby!" After reassuring the client which nursing action would be the most
appropriate? - ANSWER-Have the mother place the infant in the bassinet & assist the mother in
the dressing of the baby
Q; The nurse provides home care instructions to a postpartum client following a vaginal birth
with an episiotomy. Which statement by the client indicates the need for further teaching? -
ANSWER-"I can resume sexual activity at any time"
3
, Page 4 of 157
QUESTION: A client has just experienced a precipitate delivery. The nurse observes that the
mother is lying quietly in bed & touches the infant only briefly & occasionally. How should the
nurse be most therapeutic in this situation? - ANSWER-Provide support to the mother
QUESTION: The nurse is assisting in administering beractant (Survanta) to a premature infant
who has respiratory distress syndrome. The nurse understands that the medication should be
administered by which route? - ANSWER-Intratracheal
QUESTION: The client received an epidural anesthesia during labor & delivery & had a forceps
delivery after pushing for 2 hours. At 6 hours postpartum, the clients systolic BP dropped 20
points, the diastolic BP dropped 10 points, & her pulse is 120 bpm. The client's very anxious &
restless. The nurse is told that the client has a vulvar hematoma. On the basis of this diagnosis
the nurse should plan which action? - ANSWER-Prep the client for surgery
QUESTION: The nurse is assigned to care for the client after a C-section. To prevent
thrombophlebitis, the nurse should encourage the woman to take which priority action? -
ANSWER-Ambulate frequently
QUESTION: The nurse in the postpartum unit is instructing a mother regarding lochia & the
amount of expected lochia drainage. The nurse instructs the mother that the normal amount of
lochia may vary but should never exceed which amount? - ANSWER-8 pads a day
4
